HomeMy WebLinkAboutHealth Department Food Establishment Permit APPLICATION #:AP1473956
-STATE OF FLORIDAPERMIT #:56-SF-1842183
DEPARTMENT OF HEALTH DOCUMENT #:F11430443
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AM FINAL APPROVAL DATE PA :03/17/2020
ID
.^. FEE PAID390.00
RECEIPT #:56-PID-4342325
APPLICANT: John`George U U •C'ZJC
AGENT: George and Associates
PROPERTY ADDRESS: TBD Admiral St Fort Pierce, FL 34981
LOT: 22 BLOCK: 6
SUMM-SION: Maravilla Gardens ID#: 2421-802-0074-000-0
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
E ] [01] TANK SIZE [1] 900.00 [2] E ]. [27] SURFACE WATER FT
[ ] [02] TANK MATERIAL Polypropylene [ ] [28] DITCHES FT
[ ] [03,] OUTLET DEVICE [ ] [29] PRIVATE WELLS FT
[ ] [04] MULTI—CHAMBERED [ Y N ] [ ] [301 PUBLIC'WELLS FT
[ ] [05] OUTLET FILTER Polylok PL-68 [ ]. [31] IRRIGATION WELLS FT
[ ] [06] LEGEND 1. 70-156-90DC3 2. E ] [32] POTABLE WATER 5 FT
[, ] E071 WATERTIGHT [ ] [333 BUILDING FOUNDATIONS 5 FT
E08] LEVEL [ ] [34] PROPERTY LINES 12 FP
[ ] [09] DEPTH TO LID [ ] [35] OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
E ] 13.03 AREA [1] 522 [2] SQFT [ ] [36] DRAINFIELD COVER
[ ] [11] DISTRIBUTION BOX HEADER, ;x [ ] [37] SHOULDERS
[ ] [12] NUMBER OF DRAINLINES 1. 6.00 2. E ] [38] SLOPES
[ ] E13] DRAINLINE SEPARATION I ] [39]. STABILIZATION 05/29/2020
E. ] E141 DRAINLINE SLOPE
[ ] [15] DEPTH OF COVER ADDITIONAL INFORMATION
[ ] [16] ELEVATION E ABOVE / BELOW ]BM 7,00 [ ] [40] UNOBSTRUCTED AREA
[ ] [17] SYSTEM LOCATION [ ] [41] STORMWATER RUNOFF
I ]; [18] Do$ING PUMPS _ I ] [42] ALARMS
I ] [19] AGGREGATE SIZE [ ] [431 MAINTENANCE AGREEMENT
I ] [20] AGGREGATE EXCESSIVE FINES [ ] [44] BUILDING AREA '
E ] [21] AGGREGATE DEPTH [ ] [45] LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL I ] [46] FINAL SITE GRADING
E ] [22] FILL AMOUNT [ ] [471 CONTRACTOR CAVALIER PLUMBI(CAVAL
[' ] [23] FILL TEXTURE [ ] [48] OTHER MINERAL AGGREGATE
[ ] 1241 EXCAVATION DEPTH ABANDONMENT
[' ] [25] , AREA-REPLACED [ ] [49] TANK PUMPED
[' ] 126] REPLACEMENT MATERIAL E ] [50] TANK CRUSHED 6 FILLED
Comments: Comments are on page 2.
CONSTRUCTION• [ APPROVED / St. Lucie CHD DATE: 04/13/2020
DISAPPROVED ] Env ro ental Speciall B J Ingram(ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ ,APPROVED / DISAPPROVED ]: � St.Lucie CHD DATE: 05/29/2020
E ironmenta6Speclal II Brian J Ingram(ENVIRONMENTAL HEALTH)
(Explanation of Violations on following page)
DH 4016, 08/09 (Obsoletes all previous editions which may.not be used).
Incorporated: 64E-6..003, FAC Page 2 of 3
EH Database v 1.0.1 AP1473956 EID1842183
APPLICATION #:AP1473956
: . STATE OF FLORIDA PERMIT #:56=SF-1842183
DEPARTMENT OF HEALTH DOCUMENT #:FI 1430443
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID503/17L2020
.►e' 390.00
FEE PAID•
-°RECEIPT #:56-PID-4342325
Violation Number Comment
Comments
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons(2 per bedroom),for a total estimated flowof 300
9pd•
New ST,filter,and 18'x29'(6 DL BED).DF installed. No violations,system ok to cover. Contractor notified onsite. Needs final
inspection for filled system,gutters,and final site grading.
Final system,approved. Contractor and building department emailed final approval.
4
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 2 of 3
EH Database v 1.0.1 AP1473956 EID1842183